藤麻调脂饮合穴位埋线治疗高脂血症的临床研究

【目的】观察中药颗粒藤麻调脂饮合穴位埋线治疗高脂血症患者的临床疗效。【方法】将140例高脂血症患者按就诊顺序随机分为药线组、中药组、埋线组、西药组(氟伐他汀胶囊)各35例进行疗效对照观察。【结果】(1)经3个月治疗后,中药加埋线的治疗效果优于其他3种治疗方法,差异均有统计学意义(P<0.05)。(2)治疗后,4组患者的胆固醇(TC)、甘油三酯(TG)值均显著下降,与治疗前比较差异均有统计学意义(P<0.05);治疗后中药结合埋线对TC值的改善作用优于其他3种方法,差异有统计学意义(P<0.05),而其他3组间比较差异均无统计学意义(P>0.05);治疗后4组间的TG值比较差异均无统计学意义(P>0.05),说明4种方法对降低TG值的疗效相当。(3)治疗后除西药组4例出现肝功能异常外,其他各组均未发现肝肾功能异常者。【结论】中药颗粒藤麻调脂饮结合穴位埋线治疗高脂血症患者,具有疗效确切、副作用少的优点,值得临床推广应用。

Clinical Study of Tengma Tiaozhi Decoction Combined with Acupoint Catgut-embedding Therapy in Treating Hyperlipemia

Objective To observe the therapeutic effect of Tengma Tiaozhi Decoction(TTD) combined with acupoint catgut-embedding therapy in treating hyperlipemia.Methods One hundred and forty hyperlipemia patients were equally randomized into four groups according to the admission order,i.e.,combination treatment group,herbal medicine group,catgut-embedding group and western medicine group.The therapeutic effect was evaluated after treatment.Results After treatment for 3 months,the therapeutic effect in the combination treatment group was superior to that in the other three groups(P<0.05),but the difference was insignificant between the three groups(P>0.05).Triglyceride(TG) and total cholesterol(TC) levels in the four groups decreased after treatment(P<0.05 compared with those before treatment),and the improvement of TC in the combination group was superior to that in the other three groups(P<0.05).The difference of TG was insignificant between the four groups after treatment(P>0.05).Hepatic function was abnormal in 4 patients of western medicine group,and no adverse reaction occurred in other 3 groups.Conclusion Tengma Tiaozhi Decoction combined with acupoint catgut-embedding therapy is effective and safe in treating hyperlipemia.